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Double Direct Injection of Blood into the Cisterna Magna as a Model of Subarachnoid Hemorrhage
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Published on: August 30, 2020

Early posttraumatic subarachnoid hemorrhage due to dissecting aneurysms in three children

M C J Kneyber1, G J E Rinkel, L M P Ramos

  • 1Department of Pediatrics, Wilhelmina Children's Hospital, University Medical Center Utrecht, The Netherlands.

Neurology
|November 23, 2005
PubMed

Insights

Subarachnoid hemorrhage in children is rare but can result from head injuries. Intracranial dissecting aneurysms are a key cause to consider following head trauma, as they pose a risk of rebleeding.

Area of Science:

  • Pediatric Neurology
  • Neurosurgery
  • Vascular Neurology

Background:

  • Subarachnoid hemorrhage (SAH) is uncommon in children, with ruptured saccular aneurysms being a rare cause.
  • Pediatric traumatic aneurysms, often presenting weeks after head injury, are more frequently reported.
  • Intracranial dissecting aneurysms are an important, though less common, cause of SAH in pediatric head trauma.

Observation:

  • The study details three pediatric cases of acute SAH following head injury.
  • In these cases, the SAH was attributed to intracranial dissecting aneurysms.
  • The clinical presentation involved SAH in the basal cisterns after head trauma.

Findings:

  • Intracranial dissecting aneurysms are a significant cause of acute subarachnoid hemorrhage in children after head injury.
  • These aneurysms can present acutely following trauma, unlike some other traumatic aneurysms that manifest later.
  • The presence of SAH in basal cisterns following head trauma in children warrants consideration of dissecting aneurysms.

Implications:

  • Early consideration and treatment of intracranial dissecting aneurysms are crucial in pediatric patients with head trauma and SAH.
  • Prompt diagnosis and intervention can mitigate the risk of potentially life-threatening rebleeding.
  • This highlights the need for heightened awareness among clinicians regarding this specific aneurysm type in pediatric head injury cases.

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